Regenstrief Center for Healthcare Engineering

January/February 2009
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Center for Assistive Technologies

Center for Health Outcomes
Research and Policy

Discovery Park

HealthcareTAP

Health Information Learning Technologies

PharmaTAP


Students from Purdue’s Navy ROTC program brought boxes and bags of collected toys for St. Vincent Peyton Manning Children’s Hospital to the RCHE suite on December 18, 2008. ROTC was one of six student organizations who participated in the toy drive with RCHE. Click here to see how many toys the program distributed to the hospital.

People
> Spreading the toy joy — RCHE brings toys to Peyton Manning Children’s Hospital More

> RCHE welcomes a new communications specialist More

> Seven students honored as RCHE graduate student scholars More


Projects

> New Year invites new proposals — RFP dates announced More

>Assistive technologies’ bootcamp helps entrepreneurs learn, network in new markets More


Partners

> Purdue names Regenstrief Foundation a Distinguished Partner More


Progress

> Save the date for our spring 2009 conference More


Publicity
> e-Prescribe gets a federal push More

> CEO of National League of Nursing stresses the growing need for nursing educators More

> 2009’s first community challenge — Food for Pounds More

Spreading the toy joy — RCHE brings toys to Peyton Manning Children’s Hospital

Toy Drive

Regenstrief staff members joined students from seven organizations to play Santa to 60 children and teens who spent their holidays at St. Vincent’s Peyton Manning Children’s Hospital. A group of volunteers delivered eight wagon-loads of toys, served lunch, and made crafts with patients just before the holidays. The toy drive supplied games for a Wii in the new game room and helped start a teen library with books like The Gilmore Girls and the Twilight series. RCHE also collected money in a change jar and used it to buy character pillowcases for one floor of the hospital.

A tremendous thank you goes out to the Regenstrief Student Ambassadors, ROTC, Boiler Blast, Health Sciences Student Council, Purdue Association of Leaders, Purdue Pre-Med Club, and Purdue Student Union Board.

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RCHE welcomes a new communications specialist

Amira Zamin joined the RCHE team in December as the communications specialist. Zamin comes to RCHE from Purdue Marketing Communications, where she served as the College of Science communications coordinator and editor of the science alumni magazine. She holds a bachelor's in journalism and in French, and a master's in journalism, both from the University of Iowa.

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Seven students honored as RCHE graduate student scholars

RCHE graduate student scholar awards recognize those students who show exemplary drive and skill in their work. They were nominated for the honor by their professors and were presented with the award at a November honors breakfast. What follows are excerpts from the nominations and a description of the RCHE projects the students are working on.

Lisa Guntzviller is a master's student in the Department of Communication. Her research interests include interpersonal communication, health communication, and underserved populations. She works with Professor Jakob Jensen and is the lead graduate student on a Regenstrief-funded project titled, “Health literacy in low income, pre-diabetic populations.” Guntzviller, who is fluent in Spanish, has helped Professor Jensen survey and interview 160 low income individuals in seven Indiana counties: Lake, Madison, Marion, Howard, Tipton, Grant, and Delaware County. This work has involved conducting research in low-income neighborhoods in Gary, rehab centers in Kokomo, women’s/transitional shelters in Muncie, and food pantries in Elwood. She also has spent time developing relationships for Regenstrief with organizations serving Spanish-speaking families in Lake County, Indiana (e.g., the REACH Coalition).

Huiping Xu recently earned her doctorate in the Department of Statistics at Purdue University. Since January 2005, Xu has conducted statistical analyses of health care data. Her expertise in multivariate statistics and her ability to manage complex data bases are unique and extremely valuable to research that is geared toward evaluating current methods of providing long-term care to frail older adults. Her unique combination of statistical expertise and intuitive understanding of the policy and clinical issues underlying our research make her an invaluable colleague. Xu has made excellent contributions to the methodology and statistical analysis of Indiana Medicaid, National Long-Term Care Survey, and Program of All Inclusive Care data and those contributions have resulted in several published papers with several more underway. In addition, she has contributed to or led several presentations to the Gerontological Society of America and the American Geriatrics Society. Xu recently has taken a leadership role on a paper that will describe the consequences of older adults not having sufficient care for their ADL disabilities. This paper will have significant policy implications because it provides clear evidence that the clinical and economic consequences of insufficient long-term care for older adults is more expensive than the actual cost of long-term care.

According to faculty she works with, Huiping Xu is an outstanding statistician and ranks in the top among doctoral students. In addition to contributing to research on long-term care, Huiping Xu also wrote a thesis on the topic of medical decision-making. That work will not only prove to be an outstanding contribution to the academic field of statistics, but it also will have a significant real-world impact on health services research.

Casey Coker is working on her doctorate in marriage and family therapy in the Child Development and Family Studies Department. She is focused on oncology and family functioning and has been a research assistant on the Response of Physicians to Patient Inquiries (ROPI) study that is funded by the National Cancer Institute. RCHE faculty say that she has made outstanding contributions to this project in the recruitment of oncologists for the study, organization of the study, and in data coding and analysis. She is now involved in helping to publish findings and in preparing the follow-up grant application.

Robert Yale is a doctoral student in the Department of Communication. He has been an active participant in several RCHE projects over the last year and a half. He has been a key collaborator on a variety of projects associated with the use of communication technologies to address issues. The projects include: developing web collaboration strategies to support statewide pandemic influenza preparedness, the development of e-learning tools to support chronic disease patient self-care processes, the evaluation of home telehealth patient monitoring strategies. His research has also played a key role in identifying Indiana pharmacists’ barriers to participation in medication therapy management programs for helping patients struggling with complex medication management needs.

Lisette Reyes is a doctoral student in the Educational Technology program in the College of Education where she received her master’s degree while a Fulbright Scholar. She has been a research assistant with RCHE’s Health Informatics and Learning Technologies group since January 2008 and is an exceptional contributor to the development of a Learning, Interacting, and Tracking (LIT) framework for the design of self-care support for chronic care patients. Lisette has co-authored presentations and publications related to e-health and e-learning and her research interests include the design and support of learning, knowledge, and performance environments.

Ankita Modi has had excellent academic performance since entering graduate school. She is a key participant in the RCHE project examining concomitant use of anticholinergic medications in older adults with dementia. She has played key roles in developing methods for determining intervals of medication use, overlap between those intervals in claims data and linking data for analysis as well as contributing to the conceptual basis for the project.

Feng Lin has been making important contributions to RCHE since its inception. She has worked with projects involving IHIE, pandemic planning for ISDH (she was instrumental in the ISDH GAP analysis, and the Alternate Care site project), and many projects with HealthcareTAP. She was given a letter of commendation from Dr. Judy Monroe for her important contributions to public health in the state of Indiana. Lin is a doctoral student in biomedical engineering. Her dissertation topic examines optimal control problems in health care delivery with applications to long-term care and non-pharmaceutical interventions for pandemic planning.

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New Year invites new proposals — RFP dates announced

Purdue faculty interested in developing a project with the Regenstrief Center are invited to submit proposals for 2009 seed grant funding. RCHE will award up to $240,000 this year. The seed grants are designed to enable faculty to develop new ideas and research projects. In the past, some projects initially funded this way through RCHE later garnered national funding and developed into long-term projects and centers such as the Center for Health Outcomes Research and Policy.

Key RFP dates:

  • January 21: Intent to submit letter due
  • February 4: Full proposal due
  • March 12: Award notification
  • July 1: Funding available

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Assistive technologies’ bootcamp helps entrepreneurs learn, network in new markets

Pitching an idea is a challenge for most entrepreneurs, but especially for those looking at niche markets. For those interested in the assistive technologies segment, the Center for Assistive Technologies is offering a one-day workshop designed for innovators and developers of assistive technologies. Attendees will learn about creating, pitching, and funding these important technologies.

March 25, 2009, 9:00 a.m.-5:00 p.m., at the Burton D. Morgan Center in Purdue’s Discovery Park. There is no cost, but registration is required. Please visit http://centerforassistivetechnology.org/bootcamp to register.

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Purdue names Regenstrief Foundation a Distinguished Partner

Toy Drive

Purdue University presented the Distinguished Foundation Partner Award to the Regenstrief Foundation at the annual dinner of the Purdue President’s Council in October. The Council is the University’s donor recognition group. The award demonstrates Purdue’s gratitude for and appreciation of foundations who truly help shape the vision and mission of the University. The Regenstrief Center for Healthcare Engineering at Purdue was initially funded with a $3 million gift from the Regenstrief Foundation in 2005. The foundation was recognized for its $11 million gift in 2007 that will provide support to the Center over five and a half years.

Steve Witz (above), director of the Regenstrief Center for Healthcare Engineering, accepted the award on behalf of the foundation. President France A. Córdova later presented the award to foundation president Leonard Betley at the foundation’s Indianapolis office.

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Save the date for RCHE's spring 2009 conference

Harvey V. Fineberg,
President, Institute
of Medicine

This year’s spring research solutions conference, scheduled for Thursday, April 16, focuses on priorities in healthcare. The National Priorities Partnership, a collaborative effort of 28 national organizations convened by the National Quality Forum, issued a report in November 2008 outlining top healthcare priorities. This year’s RCHE conference draws on that report as well as the expertise of speakers from other healthcare organizations to discuss priorities, challenges, and how healthcare engineers can contribute to achieving the goals.

Join speakers from the American Council of Physicians, American Hospital Association, Agency for Healthcare Research and Quality, and the National Science Foundation for this important discussion.

The conference wraps up with a keynote from Institute of Medicine president Harvey V. Fineberg. A speakers’ reception after the keynote provides all attendees and speakers with an opportunity for networking and continued discussion.

Updates and registration can be found at www.purdue.edu/rche.

The National Priorities and Goals

  • From the National Priorities Partnership, November 2008
  • Engage patients and families in managing their health and making decisions about their care.
  • Improve the health of the population.
  • Improve the safety and reliability of America’s healthcare system.
  • Ensure patients receive well-coordinated care with and across all healthcare organizations, settings, and levels of care.
  • Guarantee appropriate care for patients with life-limiting illnesses.
  • Eliminate overuse while ensuring the delivery of appropriate care.

The report is available at www.nationalprioritiespartnership.org

The Details
Topic: RCHE spring 2009 research solutions conference — National Priorities and Goals in Healthcare
When: April 16, 2009; 8:00 a.m.-3:30 p.m.
Where: Burton Morgan Center in Purdue’s Discovery Park
Fee: Free
Registration: Required. Visit www.purdue.edu/rche beginning March 1, 2009, to register.

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e-Prescribe gets a federal push

By Phillip Fiorini, Purdue Marketing & Media

Vince Duffy

A federal measure that encourages using electronic systems for prescriptions beginning in January will help deliver safer and more efficient care to patients while also cutting costs.

A federal pilot project, which runs through 2013, awards doctors additional money from Medicare if they use electronic prescribing systems, known as e-prescribing. Medicare will give doctors a 2 percent bonus on top of their fee for e-prescribing in 2009 and 2010. In 2011 and 2012, the bonus will drop to 1 percent, and in 2013, the bonus will drop again to 0.5 percent.

“This bonus program encouraging e-prescribing will make the system more efficient, streamline the prescription process and help reduce medical errors,” said Vincent Duffy, a Purdue professor of industrial engineering and researcher at Discovery Park’s Regenstrief Center for Healthcare Engineering. “When you consider 3 billion prescriptions are written annually, this measure could have a significant impact on U.S. health care.”

According to the Institute of Medicine, 1.5 million Americans are injured every year by drug errors, and analysts say approximately 7,000 U.S. deaths occur each year because of such errors. Another study found that each year pharmacists make more than 150 million phone calls to doctors to clarify what was written on the paper prescription.

“Some of these errors can be traced to handwriting illegibility, wrong dosing, missed drug interactions or drug-allergy reactions,” Duffy said. “This area constitutes one of the largest paper-based processes in the United States. The evidence is clear that the writing of prescriptions can be streamlined and made more efficient by using an e-prescribing system.”
Duffy and his research team are developing a framework by which physician adoption of e-prescribing systems can be predicted and evaluated. The team is using human performance engineering to determine categories of critical technology, human factors and organizational characteristics that influence physicians’ willingness to adopt an e-prescribing system.

“Less than 20 percent of physicians currently use e-prescribing, even though more than 70 percent of pharmacies are capable of receiving electronic prescriptions,” Duffy said.

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CEO of National League of Nursing stresses the growing need for nursing educators

Beverly Malone

RCHE’s 2009 Speaker Series kicked off with Beverly Malone, CEO of the National League of Nursing, who spoke to a crowd of Purdue faculty, staff, and students, as well as community healthcare providers about the pressing need for nursing educators.

The U.S. expects a 27 percent increase in nursing jobs by 2012, she said. However, nursing education programs are having difficulty keeping up with the demand and are sometimes forced to turn away applicants due to a lack of space in the programs. 2008 marked an eight-year low in nursing program growth, she said.

This is largely due to not enough faculty, she said, with more than 76 percent of schools surveyed by the National League of Nursing citing this as problem. Only half a percent of those in nursing program grads across the country are doctoral grads -- those individuals more likely to take on academic leadership roles. Meanwhile, three-quarters of the current nursing faculty members across the country are expected to retire by 2019.

Malone stressed the importance of developing nursing educators who can help educate the next generation of nurses.

About Dr. Malone

Malone, PhD, RN, FAAN; CEO, National League for Nursing, began her nursing career with a first degree in nursing from the University of Cincinnati in 1970. She combined further study with clinical practice, a master’s in psychiatric nursing and she received her doctorate in clinical psychology in 1981.

Her career has mixed policy, education, administration and clinical practice. Dr. Malone has worked as a surgical staff nurse, clinical nurse specialist, director of nursing, and assistant administrator of nursing. During the 1980s she was dean of the School of Nursing at North Carolina Agricultural and Technical State University. In 1996 she was elected for two terms as president of the American Nurses Association (ANA), representing 180,000 nurses in the USA. In 2000, she became deputy assistant secretary for health within the US Department of Health and Human Services.

In February 2007, Dr. Malone took up her appointment as chief executive officer of the National League for Nursing in New York. Dedicated to excellence in nursing, the NLN is the premier organization for nurse faculty and leaders in nursing education offering faculty development, networking opportunities, testing and assessment, nursing research grants, and public policy initiatives to its 27,000 individual and 1,200 institutional members.

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2009’s first community challenge — Food for Pounds

Is one of your New Year’s resolutions to get fit or lose weight? Or would you like to help out the Food Finders Food Bank? If either applies to you, RCHE has the program for you. We’re kicking off 2009 with “Food for Pounds.”

How it works

There are two ways to participate — the food or the pounds. If you have resolved to lose weight, keep track of how much you lose each week. If you don’t or want to participate in the food portion, you can collect non-perishable food items and drop them off at the RCHE suite. For every pound of weight participants lose, RCHE will donate at least one pound of food to Food Finders.

How to participate

All you need to keep track of each week is pounds lost during that week. You may e-mail your results to Mary Schultz, schultm@purdue.edu, and she can keep track of it with either your name or a nickname. No one’s individual results will be posted or identified with a certain person.

Timeline

The Food for Pounds challenge begins on January 12 and runs through March 16.

Extra food? We’ll take it.

Any food gathered beyond the pounds lost will also be donated to Food Finders. Check out our next newsletter to see how many pounds were lost and how much food was gathered.

Questions?

Contact Mary Schultz, schultm@purdue.edu or (765) 494-9828.

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Regenstrief Center for Healthcare Engineering at Purdue University
(765) 494-1531 • www.purdue.edu/rcherche@purdue.edu

Editor: Phillip Fiorini, pfiorini@purdue.edu
Editor: Amira Zamin, azamin@purdue.edu